Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN MICHAEL WISEMAN, ATC
Active Sole ProprietorSHAWN MICHAEL WISEMAN, ATC is a Athletic Trainer healthcare provider located in HAMPDEN SYDNEY D, Virginia. NPI 1710494869 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HAMPDEN SYDNEY D, VA
Registration Details
- NPI Number
- 1710494869
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2018 (8.6054659556608 yrs)
- Last Updated
- Dec 9, 2019
- License
-
0126002208 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 ATHLETIC CENTER DRHAMPDEN SYDNEY D, VA, 239432394Browse VA providers · Browse ZIP 23943
- Phone
- 4342236843
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.